Bilateral Mature Cystic Teratoma Masquerading as an Ectopic Pregnancy

A Case Report and Review of the Literature

Chew Kah Teik, Muhammad Azrai Abu, Mohd Faizal Ahmad, Nur Azurah Abdul Ghani

Research output: Contribution to journalReview article

Abstract

Background: The presentation of an adnexal mass with a raised beta-human chorionic gonadotropin (β-hCG level) does not necessarily indicate a diagnosis of ectopic pregnancy. This article highlights an unusual case of benign cystic teratomas with β-hCG production, mimicking the presentation of an ectopic pregnancy. Case: A 28-year-old woman who had a 10-week period of amenorrhea presented with an acute abdomen and an increased β-hCG level. An ultrasound scan revealed features suggestive of an ectopic pregnancy. Results: The patient underwent right salpingo-oophorectomy (for torsion of an ovarian cyst) and a left cystectomy (for an ovarian cyst). There was no evidence of an ectopic pregnancy found during the surgery. Histopathology examination reported that she had bilateral mature cystic teratomas. Conclusions: Careful assessment and consideration of ovarian accidents or neoplasms is crucial, especially in the presence of an ovarian mass with an increased β-hCG level.

Original languageEnglish
Pages (from-to)252-254
Number of pages3
JournalJournal of Gynecologic Surgery
Volume34
Issue number5
DOIs
Publication statusPublished - 1 Oct 2018

Fingerprint

Ectopic Pregnancy
Teratoma
Ovarian Cysts
Acute Abdomen
Cystectomy
Amenorrhea
Patient Rights
Ovariectomy
Chorionic Gonadotropin
Accidents
Neoplasms

Keywords

  • Dermoid cyst
  • Ectopic pregnancy
  • Mature cystic teratoma
  • β-hCG

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynaecology

Cite this

Bilateral Mature Cystic Teratoma Masquerading as an Ectopic Pregnancy : A Case Report and Review of the Literature. / Kah Teik, Chew; Abu, Muhammad Azrai; Ahmad, Mohd Faizal; Abdul Ghani, Nur Azurah.

In: Journal of Gynecologic Surgery, Vol. 34, No. 5, 01.10.2018, p. 252-254.

Research output: Contribution to journalReview article

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